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Permit y � CITY OF TIGARD MASTER PERMIT . �9 ` COMMUNITY DEVELOPMENT Permit #: MST2012 -00236 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/27/2012 Parcel: 2S114BA17500 Jurisdiction: TIGARD Site address: 9627 SW FERN HOLLOW CT Subdivision: FERN HOLLOW Lot: 1 Project: Fern Hollow, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 914 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1207 sf Garage: 400 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 2121 sf Value: $236,683.32 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice.Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL , Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0 ' Ea add'l 500 sf: 4 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: • NEW SF VB R -3 2121 . Owner: Contractor: • RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports (Conditions) 17933 NW EVERGREEN PKWY, 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503 - 639 - 4175 • SUITE 370 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503- 645 -0986 PHONE: 503- 645 -0986 FAX: 503 -690 -2942 Total Fees: $18,548.07 This permi ' -d subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be d, • - in accordan - ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day -. ATTENTION: Oreg. - • requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 •- 001 -0010 through OAR ' 2 -00-' 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 or 1.800.332.2344. it-L_ ke.- ..- Is ued By: ■ ��� l LL :..L ' Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. • r n . Building Permit ApplicationbCEID Residential r 3 2012 FOR OFFICE USE ONLY of Ti • City of /� T �? j Date ^y Recei■ed 25 t �� OFTI�Jt'.�d0 B� /7 � /" ) Permit No Myr& 1 --ooa3 i- 1111 " Cit 131-5 SW Hall Btyd . Tigard. OR )7`✓? -n Plan Eiv Ica) . 0 Phone 303 718 2439 Fax. 503 59 1 , I T�?e,' Dj DateBv 2 _ cr Permit 'S.) rD�v,a e p / 9// I'I GA Rt) Q Inspection Line 639 4175 ������ Date Ready a s �` ® See Page 2 for Internet swx ', tigard - coy Notified Method / R7 /or its ,17 Suppler• coral Information TYPE OF WORK / ;A 6 , LR£QIUIREDDATA: ;I- A'MD2- FAMILY DWELLING U lc New construction El Demolition Permit fees*` arc based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alterationlreplacement ❑ Other: equipment, materials. labor, overhead. and the profit for the CATEGORY OF CONSTRUCTION.', - work indicated on this application. Valuation: 2:, I- and 2- family dwelling ❑ Commercial /industrial Z s�p �� ❑ Accessory building ❑ Multi-family Number of bedrooms: 4 ❑ Master builder I=1 Other: Number of bathroom 6 ; ', JOB = SITEIINFORMATION AND LOCATION r..-" �." Total number of floors: 2 Job site address: 9627 SW Fern Hollow CT New dwelling area: 2121 square feet City /Stale /ZIP: Tigard, OR 97224 Garage /carport area: 400 square feet Suite/bldg. /apt. no-: Project name: Fern Hollow Covered porch area: 25 square feet 1 7 Cross street /directions to job site: Deck area: NA square feet ei 1; Other structure area:'Z,Z 1 square feet 2 " ".REQUIREDDATA:.COMM USE CHECKLIST• Ili Subdivision: Fern Hollow I Lot no.: 1 Permit fees" are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax m aplparee l na: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK, `Fork indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet • t= !. PROPERTY. OWNER '01 TENANT"; _''- ` :. ". ''.. Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pkwy, Suite 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97006 Existing: Phone: ( 503)645 -0986 Fax: (503)690-2942 New: -APPLICANT ,❑ " ,, a(I1ED1NG- PERMIT'FEES� , Business name: Riverside Homes, LLC - - " '''' - =( P1e5seieR •irbYfcesrheldiile "j ."� ° - - . Structural plan review fee (or deposit): Contact name: Lindsay Adams FLS plan review fee (if applicable): Address: 17933 NW Evergreen Pkwy, Suite 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97006 �5�, o0 Phone: ( 503) 645 -0986 Fax: ( 503)690 -2942 Amount received: E -mail: LAdams @Riversidehome.com >; , r PUQ?;9VO TA1C PANEL SYSTEM FE ; - Commercial and residential prescriptive installation of 4 r CONTRACTOR -- - ,' • ... .. . , e.: roof -top mown d Photovoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two (2) st ol' roof plan with connecti ctails and fire department • cess. alone with - r 0 Oregon Address: 17933 NW Evergreen Pkwy, Suite 370 Solar Installation Spec " kv Co. ecklist. City /State/ZIP: Beaverton, OR 97006 Permit Fee (in r"an review $180.00 • administri 'ye fees): Phone: ( 503)645 -0986 Fax: ( 503)690 -2942 c surcharge (12% of permit '•e): $21.60 CCB lie.: 189148 l Total fee due upon application: $201.60 l'6.-N. �� J Thus permit application expires if a permit is not obtained Authorized signature;, within 180 days alter it days been accepted as complete. Print name: L indsay Adams D ate: 9 /10/2012 ' Fee methodology set by'1'ri- County Building Industry Service Board. 1. 1Building \Permus \BUI'- RESPcnmtApp.doc 02/24/2011 4.0 4613T(I I /02 /COM /WEB) Mechanical Permit Applica : 1. ' V FOR OFFICE 1 SI :OS1.1 City of Tigard Dw Dtue/B : 9 / 3 Permit No.: •Taoi ?...elog IN 131 25 SW Hall Blvd.. Tigard, OR 97223 012 Plan Review . Phone: 503.718.2439 Fax: 503.598.19 Date/By: OtherPennit: i�Q� --40•0 j1 / . T I G A R L) Inspection Line: 503.639.4175 CITY r OF TI GARD Date /B ran Internet: www.tigard•or.gm' Notified/Method: supplements! Information 61 See Page 2 for 13 UILDIr.G DIVISION ' . TYPE OF WORK COMMERCIAL FEE*. SCHEDULE — USE CHECKLIST. Mechanical permit lees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials. equipment labor. overhead. and profit. Value: S ' CAT EGORY .OF CO NSTRUCTION • RESIDENTIAL EQUIPMENT /SYSTEMSFEESI' (Xi 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special Information use checklist ❑ Multi family ❑ Master builder ❑ Other. Description I QIy, I Ea. I Total • JOB, SITE INFORMATION AND LOCATION HwtlitR/coolhig: Air conditioning Job site address: 9627 SW Fern Hollow CT Inquires site plan showing 46.75 city/state/zip: (dumb/yam) igard, OR 97224 Furnace 100.000 B(dumb/yam) 46,75 Furnace 100.000+ BTU (duets/vents) 54.91 Suite/bldg. /apt. no.: I Project name: Fern Hollow Heat pump (requites site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hy'dronic) 23.32 Unit heaters (fuel -type, not electric), in -wall. in -duct. suspended. etc. 46.75 Subdivision: Ferri Hollow I Lot no.: 1 Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF :WORK - Water heater I 23.32 Gas fireplace/insert 1 33.39 Flue vent for water heater or gas fireplace 23.32 Lop lighter (pas) 23.32 Wood/pellet stove 33.39 Wood fireplacc/inscrt 23.32 ' ' ' -2 .PROPERTY;OWNER - Chimney/liner/flue/vent 23.32 :I',.. • : -, :. � : ❑- T£lVANT, � Other. 23.32 Name: Riverside Homes, LLC Environmental exhaust and ventilation: Address: 17933 NW Evergreen Pkwy, Suite 370 ltangehood /otherkitchen equipment i 3139 City/State/ZIP: Beaverton, OR 97006 a bthes dryer exhaust 33.39 Phone: ( 503) 645 -0986 Fax: ( 503) 690 -2942 Single -duct exhaust (bathrooms. toilet compartments, utility rooms) 23.32 . I21.'APPLICAI4T , . - .. . ❑ CONTACT..PERSON"' Attic/crawlspacc fans 23.32 Busintssname: Riverside Homes, LLC Other: - 23.32 Fuel piping: Contact name: S14J5 for first four. 54.03 for each additional Addrss: NW Evergreen Pkwy, Suite 370 Furnace. ac. 1 Gus hest pump City/state/ZIP; Beaverton, OR 97006 Wal /suspcnded/unit heater Phone: ( 503).645 -0986 I Fax: : (503)690 -2942 Water heater 1 Fireplace E -mail: LAdams ©Riversidehome.com Range CONTENCFOR' ' .., .. Barbecue Business name: Andersen Heating, Inc Clothes dryer (Ras) Other: 1 Address: 6463 Dawn Ave IECHANty SRMIT EEs, : := :'. City/Statc/ZIP: Lake Oswego, OR 97035 Subtotal - Phone: ( 503)841 -074 I Fax: (503)536 -6615 Minimum permit fee (590.00) Plan review (25 °Jo of pcirnit fee) CCB lie.: 168214 A State surcharge (12°%0 of penult fee) l _ TOTAL PERMIT FEE This permit application expires ifa permit is not obtained within Ian Authorized Signature: days after it bat been accepted as complete. I Print name: Art Andersen I Date: S ( 7 / Z 1 • Fee methodology set by Tri•County Building industry Ser ice Bwrd 1:58uBdinpV emlitA�1EC•PermitApp.doc 0)X17/12 17T (11/02/COM(WEB) RECEIVED Plumbing Permit Application Building Fixtures 1 2012 ' i ni ' �I ^ ! 3 Y Y ' ` c)it ()t t it 1 tltil t)�1 y' �., . .. ..r.. 1 i. .)�..._ .. .. City of Tigard g � TI p tet/g 917 Pe-"No a3 � ty g Petmnr.a. N / 13125 SW Hall Blvd., Ti 7 2 GARD x• ° Plan Review tI, B Phone: 503.718.2439 �43' ?fQDIVISIGN ptbe, Permit No.: /A -eel / 9/ inspection 503.6 Date/ T�ll.A in SpGC DaleReedylBy: hair ® See Page 2for Internet: wttiw.ligard or.gov - `r rr NotirieM.lerhod: So. •IementaI Information Y �4 J d. ) •`{-- 1 ft) l .r 3 . -l 1 J "` v .-L<a- ,.3- 3 r-i 'iatel i71t j _-. f - -+ - , __r�•_ ....._..- _.__.. u�...h_.fu, .w . rn..<. - , _ ....r. J New construction ❑ Demolition For special Information use checklist Description 1 Qty. 1 Ea. 1 Total 0 Addition/alteration/replacement ❑ Other: New 1- 2•famlly dwellings (includes 100 fL for each udtity connection) -y ti t rrf�ZZ Tai f e I i s LtJetej SPR {1)batlt I 312.70 r� RI 1- and 2- family dwelling ❑ Commercial/industrial SPR (2) bath 437.78 ❑ Accessory building ❑ Multi - family SPR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler ( aq.fL) I Paget Aoj T.)aTIaI i ti) T toviii:I.i.p, ba TNR 4 ::-1 Site utilities: " Job site address: 9627 SW Fern Hollow CT Catch basin or area drain 18.76 Drywall, leach line, or trench drain 18.76 City/Stale/ZIP: Tigard, OR 97224 Footing drain (no. linear fl: ) Page 2 Suite/bldgJapt. no.: I Project name: Fern Hollow Manufactured home utilities 50.03 Goss street/directions to Job site: Manholes 18.76 _Rain drain connector 18.76 Sanitary sewer (no. linear fL: ) Page2 Stone sewer (no. linear R.: _) Page 2 Water service (no. linear R.: _) Page2 Subdivision: Fern Hollow I Lotno.: 1 Fixture orItem: Tax map /parcel no.: t3ackllow pteventer 3127 '�--f d Backwater valvo 12.51 �_ .z - ......_ _ ,, ..._. .•._rL...- 3,.,,.- __ - --= r w_.-. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 L7 t a T[t) t - 'i LtS�1 i .� " v : 4 it i is` Expansion tent: 12.51 Name Riverside omes, LLC Fixture/sewercap 1 25.02 Address: 17933 NW Evergreen Pkwy, Suite 370 Floor drain/lloarsink/hub 25.02 Oarbaga disposal 25.02 City/State/Z[P: Beaverton, OR 97006 Hose bib . 25.02 Phone: (503)645 -0986 Fax: (503)690 -2942 lee maker 12.51 f .i a i ), (r 7r b-• ` + r F3) /v . 1 T /T' L - Interceptor/grease trap 25.02 Business name: V Riverside Homes, LLC Medical gas (value: S) Page 2 Contact name: Lindsay Adams Primer 12.51 Evergreen Pkwy, Roof drain va(ory (commercial) 25.02 Address: 17933 NW Ever g kwy, Suite 370 Sirtk/bacln/1avaWry 2s.o2 City/State/BP: Beaverton, OR 97006 Solar units (potable water) 62,54 Phone: (503)645 -0986 1 Fax: : (503)690-2942 Tub/shower /showerpan 12.51 5 -mall: LAdams @Riversidehome.com Urinal 25.02 s )'�"" r, 1 : 2E We rr t` � ) ~- x f "r �? y � . .: Water closet 25.02 1 ° >. C v,a. • ..._ Welerheater 37.52 Business name: H &H Mechanical Waterpiping/DWV 56.29 Address: 5757 SW Willow Lane Other: 25.02 City/State/ZIP: Millwaukie, OR 97267 Subtotal Phone: (503) 975 -9787 Fax: (503)659 -2979 Minimum permit fee: 572.50 CCB Lic.: 178122 Plumbing Lic. no.: PB414 Plan review (25% of pennit fee) - State surcharge (12% ofpermit fee) Authorized signature: TOTAL PERMIT FEE 1 ECM_ Thb permit application expires if a permit b not obtained within 1B0 days / � � Date: ' amar It hn been aeapted a complete. Fee methodology set by Id-County Building Industry Service Board. NBuitdmgWermits \PiMrbi4m:tAgadoo 1691/09 410- 1616T(I047./COatW O) RECEIVED Electrical Permit Application FOR OFFICE 1—SE ONLY City of Tigard SEP 1 3 2012 ;w 9��++ii ) 7 /a— ')0 9 9 .3 - Pemut No. v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rciiew �`n /� III _ . Phone:, 503.718,2439 Fax: 503 59 , OFTIGARD Ixtda , Other Permit t ! f Y` o / ? /Q T 1 G A R D Inspection Line: 503 .6394175 BUILDING D IVISION Date Notified/Method: ho hair ® See Page 2 for Internet: www.li -or. ov Naifiod/hlcthl7d: Supplementallnformation TYPE OF WORK PLAN REVIEW ID New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans wfiterns checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION creeds 10,000 wares al 150 volts or ❑ floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps Con other installations. buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire per. ❑ Installation of75 KVA or ❑ JOB SITE INFORMATION AND LOCATION Emergency system. larger separately derived system ❑ Addition of new motor Toad of ❑ "A ", "E "1 -2 ", "1 -3" Job no.: Job site address: 9627 SW Fern Hollow CT 100HP or mare. fey. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR 97224 ❑ Hralth -rare facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldgJapt. no.: I Project name: Fem Hollow ❑ Service or feeder 600 amps or more. Cross street/directions to job site: uewr, n� FEE SCHEDULE y. 1 l P 1 Qty. 1 Fen 1 Tout 1 . New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Fem Hollow l Lot no.: 1 1,000 sq. It or less f 168.54 4 Tax map/parcel no.: Ea add'I 500 sq. ft or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq, ft ) Limited energy, multi- faunily 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ta PROP.ERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: Riverside Homes, LLC 601 amps to 1,000 amps 301.04 2 Address: 17933 NW Evergreen Pkwy, Suite 370 Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation, alteration, and /or City/State/ZIP: Beaverton, OR 97006 relocation Phone: ( 503)645 -0986 Fax: ( 503)690 -2942 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or extension, Lser panel Owner signature: Date: A. Fee for brunch circuits wail above service or feeder fee, RI APPLICANT 1 ❑ CONTACT PERSON each branch circuit 7.42 Business name: Riverside Homes, LLC B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Lindsay Adams branch circuit Each add'I branch circuit 7.42 2 Address: 17933 NW Evergreen Pkwy, Suite 370 Miscellaneous (service or feeder not included) Each manufactured or modular City/Statc/ZIP: Beaverton, OR 97006 dwelling, service and/or feeder 67.84 2 Phone: ( 503)645-0986 Fax: : ( 503)690 -2942 Reconnect only 67.84 2 E -mail: LAdams( Riversidehome.com Peunporirrigationeircle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Signal circuit(s) or limited-energy Business name: Western Cascade Electric panel, alteration, or extension. Paget 2 Each additional inspection over allowable in any of the above Address: 8900 SW Burnham St. G18 Additional inspection (1 hr min) 66.25/hr City /State/ZIP: ligard, OR 97223 Investigation ((tm min) 66.25/hr Industrial plant (I hr min) 78.18/ hr Phone: ( 503) 521 -0000 I Fax: (503)521-8876 Inspections for which no fee is 90.00/ tar specifically listed ('h hr min) CCs Lie.: 153415 ! Electrical Lic.: 34 -616C Suprv. Lie- :` pUS$' .ELECTRICAL PERMTP• FEES • Suprv. Electrician signature, required: Cc.......__ Subtotal: Plan review (25% of permit fee): Print name: Jeff Evens Date: • Q' -- State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: /./' This permit appliattion expires if a permit it not obtained within 180 7 �I Il days after it has been accepted as complete. Print name: Jeff Evens Date: • Number of inspections allowed per permit. 1 lBnldmg%PemutslELC PermitApp doe 07/01/10 440- 44151'(11/051COM/WEa • .- A ; . • • ;Budding . Division 1 . Development Code Provision Review • TIGARD • s -, - • -,R•esaidential' '.rojects , : • q; . • , - s Building Permit No. �� O / OZ . . v:, " t Site Address: 16a7. . i. E /!_!f_ Project Name & Lot No.: *0-43 Not,,J[�... t...Ori CWS Service Provider Letter Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Routed Plans: _ Original Plan Submittal Date: ^ / 3 iZ . 1st Revision Submittal Date: ite Plan Only 2 °d Revision Submittal Date: Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if a dt L ( proved. Planning Review (contact G A4 3 r at 503 -718- 2'0 S or 7 @tigard- or.gov) Land Use Case o. V,(3 d26 'db // /PBX200(0 Z a Zoning Er-Setbacks: Front / S Rear / S Side ''' Street Side I v Garage Z••O ❑ Maximum Building Height 35 ' Actual Building Height Z. ' Er Visual Clearance ® Easements ❑ Sensitive Lands Type: /' A Notes: Original Plan: Approved )B' Not Approved ❑ Date: 7 /6 / 2- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Er Actual Slope: 3 Notes: Original Plan: Approved..-Er Not Approved ❑ Date: /8 I Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 9q p '2.9 73' City Arborist Review (contact T �ger at 503 - 718 -2700 or.todd @ tigard- or.gov) ❑ Street Trees SNN "tr- p[-b4 /3 Alfa Er Trees / Notes: �S Cl92L� Iv #ittd dlt H4142 Ai4onisr caul' /r ∎ 7 - - � poi /4g - ten 40,0 06 v;i4ALC Original Plan: Approved ❑ Not Approve Date: ? 'IR'( Revision 1: Approved P' Not Approved ❑ Date: ? ` 2� �/ Z Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approyali rto Issuan e of Buil Notes : e. WV Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes E No ( 7// • Date Routed to Building: • Page 2 of 2 9627 SW Fern Hollow CT 2121 A LEFT I 4 9/10/2012 __ _. ..... I R7 / 204.1 _ ._ , r _____ __ _ \ _____ 10.00'10' 4' 34' 1 \ N' T \ \ \ / / \ /STD / \\ \' 4.00 1 58' / 20.00' M ` is a cS ■ \ 4 21 �,,, SAN ITARY �� \ \N / Q 9 • 4 � ' 2 \ \ \� p J`' • 10' 42 i - • � , ' f F ` f 4t 4,832 SF \ / 27' 2- ,0 > i '7 , 5 \ , , �' w• % FF= 205.50 / )\ \ �� ,•'' = I' I 1 .' 0 II`Vc, 4:3 „". , - . / • likia a2 \ -' a ' 1 \ y 0 °1 \ f01 7,, "... T , , V \ . \ 55 / \ A O # ,, ,,V , r �L Qp / QS LIGH / - A l'j Avdi (s3 0 / 5 A 7 I c) - , \\ ..y \:\ \ \ \ . r / # • RECEIVED j SEP 11 2012 CITY OF TIGARD PLANNING /ENGINEERI N MINIMUM FRONT YARD:10 FEET (S) 20' 10' 0 20' MINIMUM SIDE YARD: 4 FEET (W ) MINIMUM REAR YARD:10 FEET (N) MINIMUM GARAGE: 25 FEET L P.U.E.: 10 FEET SCALE: 1 " = 20' D 5 , �...,,ROf� f FERN HOLLOW � TIGARD, OREGON o 4 Imo 4. DESIGN GROUP INC. „ OREGON LOT 1 14025 SW FARMINGTON RD �`q, t 2 ' o �� Project No. RVR001 Date: 05/17/12 Suite 270 BEAVERTON, OR 97005 1 (503)644-4628 EXPIRES u -31.13 I Scale: 1" = 20' Drawn By. KRF of RECEIVED 9627 SW Fern Hollow CT 2121 A LEFT S E P 1 3 2012 204.18 0/2 9/1012 X0∎,'0 "Jr F---- ,._ _ 10.00' 1 ''UILDIN� DIVISI ®N 34 x. / / is I \ \ \ �( // \ \ /S II RMe a - / \ 4.00 I 58 -1O'. / 20.00' M . ' S \ ,/ / SANITARY 4' 21' • �, ;� ``� /�..�•: / \V, 'l 4, 832 SF vie 7' 2 Oy7 • • • / � � j , / r FF= 205.5 ,/ \\ ♦ ¢ *�' �= �, 7 7 X ,,, I %', ' / • \ \ / / \ GP �. f j 2 \ \ I \ v 7 0 :, 1 4‘ 1- C ,, .., cp. [ \\, el Pc e / ., N \ 41 l j / �\\ / . �` Q STRE LIGHT / / / a 5 / / ' \ / i R � / , \ \ // 06 / cz. ' ` \■ \ / SO Y j N MINIMUM FRONT YARD:10 FEET (S) 20' 10' 0 20' MINIMUM SIDE YARD: 4 FEET (W) MINIMUM REAR YARD:10 FEET (N) MINIMUM GARAGE: 25 FEET P.U.E.: 10 FEET SCALE: 1" = 20' L D FERN HOLLOW CIC TIGARD, OREGON DESIGN GROUP INC. LOT 1 14025 SW FARMINGTON RD 0 13. 0 0 Suite 270 4?). r. Inks' Project No. RVR001 Date: 05/17/12 1 of g BEAVERTON, OR 97005 (503) 644 -4628 EXPIRES ,2.31.13 ( Scale: 1" = 20' Drawn By. KRF 204.18 10.00' / / _\ \ >, / \\ \ \\ // \\ /// ° A \ 4.00 1 / / / 20.00' MIN. / / t..,_, / itvo \ / `� � k' ; 4, 832 SF \ \ \ / / s.00 ,<\Y � . ° 9l � � �� , > : ,, = -: A � FF= 205.50 / )\ \ \ ;0eit■ ; F rA , �� � � 7 0 ..- --' „ \ 7\ - cC<s -7 c i5 \ / / ' �: �O 'f�� / ,/ ()SIRE LIGHT // 7 7 1 ��,. 4 - IV ( \ 5 / .R f; , \ \ \ / 06 i f j low ae � N t ' .� � , f 5 ?7g MINIMUM FRONT YARD:10 FEET (S) 20' 10' 0 20' MINIMUM SIDE YARD: 4 FEET (W) MINIMUM REAR YARD:10 FEET (N) ;' — cHAi'ic IEFI2. X MINIMUM GARAGE: 25 FEET P.U.E.: 10 FEET SCALE. 1" = 20' • D L ,, 5. :o 4' 19160 • FERN HOLLOW a TIGARD, OREGON DESIGN GROUP INC. onacoa LOT 1 14025 SW Suite 2 17 O TON RD 0,1 �. � ,' Project No. RVR001 Date: 05/17/12 BEAVERTON, OR 97005 1 of 6 (503)644 -4628 EXPIRES 12.31 -13 I Scale: 1" = 20' Drawn By. 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I ��► I i I 'i e Y'188;ER , • la..1■N ' } . 11:/g4; 011111124 ll t IAA if .Q a , :12, : "Q" '1, I • tt 4 ,C ; _, , ' : — .... — "' I 1; A PPINII 1H p . , y . $ r i II I ijI CASE FILE #SUB 2006-0001 1 In I � $ P FERN HOLLOW PLANNED UNIT DEVELOPMENT i i I to 1 m1 E 0 N q T IGARD, OREGON 3 � � l i t; $ g 1-5,,RE° l r ,_,•,, SITE PLAN AND STREET TREE PLAN ¢ � g • FOR OFFICE USE ONLY — SITE ADDRESS: This form is recognized by most building departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1 Transmittal Letter GA R 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATE RE ED: DEPT: BUILDING DIVISION OCr 25 2012 FROM: Lindsay Adams BUILDING D COMPANY: Riverside Homes, LLC /1 /87 PHONE: 503- 645 -0986 B RE: 9627 SW Fern Hollow CT. Tigard, OR 97224 MST2012 -0023 CP (Site Address) (Permit Number) Fern Hollow Lot 1 ( roject name or su • rvision name an • of num • er ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. 2 Other (explain): S- pages of blueprint REMARKS: Change the TJI Joists to dimensional lumber FOR 9FFIcE USE ONLY Routed to Permit Technician•' Date: I✓L Initials: �� Fees Due: ❑ Yes Fr/No Fee Description: Amount II ue: Special Instructions: Reprint Permit (per PE): n Yes n No n Done Applicant Notified: Date: Initials: I:\ Building\ Fonns\ TransmittalLetter- Rcvisions.doc 05/25/2012 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9627 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final 03/25/2013 00:00 MST2012-00236 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9627 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final 03/25/2013 00:00 MST2012-00236 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9627 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final 03/19/2013 00:00 MST2012-00236 FAIL 1. caulking on fixture at: kitchen sink 310.4/407.2 2. Correct garbage disposal not working 310.4 3. Expose storm/sanitary cleanout 719.3 4. Provide approved thread sealant on clean out plugs 316.1.1 5. Provide washers on earthquake straps. 508.2.1.2 6. Correct master bath right lav pop up not working 310.4 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9627 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 03/19/2013 00:00 MST2012-00236 FAIL 1. Provide plumbing/electrical approvals 2. Provide all documentation 3. Not ready for inspection. No inspection made ORSC R110.5 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9627 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final 03/19/2013 00:00 MST2012-00236 FAIL 1. caulking on fixture at: kitchen sink 310.4/407.2 2. Correct garbage disposal not working 310.4 3. Expose storm/sanitary cleanout 719.3 4. Provide approved thread sealant on clean out plugs 316.1.1 5. Provide washers on earthquake straps. 508.2.1.2 6. Correct master bath right lav pop up not working 310.4 Violation Summary: Inspector Contractor STREET TREE TIGARD CERTIFICATION I, C 'A , owner/ agent for (PLEASE PRINT) (PERMIT HOLDER) do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: 1)-Y Z 0 l t - t) U'710 ME ADDRESS: Gl L0 '2'1 Et- 41 J v SUBDIVISION: <_„ 4 110 w LOT #: SIGNATURE: DA E: '2) l (OWNER /AGENT) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 u WM. IC) R i/4 LL i Ur' .a S Li 7C-14:N Air & Duct Leakage Affidavit Permit #: , / House address or lot number: Fe�c� tl o l (ou) C t 1f City: T& C��/` Zip: Cond. Floor Area (ft2): Z/ ' G Average Ceiling Height: 0. Air Leakage test; Maximum Air Leakage: (6ACH x V / 60) = Mb/ CFM @50 Pa Measured Air Leakage: / 5 3 44 CFM @50 Pa Baseline: / Pa Ring (circle one if applicable): Open6/2 3 Windy? Yes 6191 Air Handler in conditioned space? yes o Air Handler present during test. y$s no Circle Test Method: eakage to Outsi Total Leakage Maximum duct leakage: Post Construction, total duct leakage: (floor area x .08) = CFM @50 Pa Post Construction, leakage to outdoors: (floor area x .06) = 13 ' CFM @50 Pa Rough -In, total duct leakage with air handler installed: (floor area x .06) = CFM @50 Pa Rough -In, total duct leakage with air handler not installed: (floor area x .04) = CFM @50 Pa Test Result: f 2 6 CFM @50Pa Ring (circle one if applicable): Open 193 Duct Tester Location: Re* K. Pressure Tap Location: v .t 1 < , -'s n90 v't- I certify that these air leakage rates are accurate and determined using standard ODOE protocol. Company Name: Westside D .ulation Technician: Kyle Chase Technician Signatur // Date:. ( V `� . hon - Number: 503 -806 -1339 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, V) vitA 11 Viii , am the general contractor or the owner- builder at the following address: Site Address: (.0 al ■11 1 VI - 1,) City: — Permit #: MST Z 0 l ` i; 01.1 Subdivision/Lot #: r, 4 ) ■-si I and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weigh of dry framing members. Signature: ' `' / Date: Z2 / e era C.ntractor or Owner - Builder I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Y,-- ZOO, - 901- Jurisdiction: k 1 ow-A Site Address: Vt;) �trm \ A l 1 l � Subdivision/Lot #: 1 t v and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Speci. lty ode 107.2) i Signature: Date: I O er /General Contractor /Authorized Agent Print Name: Y 1 A. C W ti ORSC Section N 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\Fonns\RES- HighEfficiencyLighting.doc 07/01/08